JP2010521198A5 - - Google Patents

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JP2010521198A5
JP2010521198A5 JP2009552328A JP2009552328A JP2010521198A5 JP 2010521198 A5 JP2010521198 A5 JP 2010521198A5 JP 2009552328 A JP2009552328 A JP 2009552328A JP 2009552328 A JP2009552328 A JP 2009552328A JP 2010521198 A5 JP2010521198 A5 JP 2010521198A5
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tool
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control unit
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Priority claimed from PCT/IL2008/000316 external-priority patent/WO2008107905A2/en
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Claims (15)

対象者の身体システムの周期的活動の結果として運動する前記対象者の身体の一部分と共に使用される装置であって、
前記対象者の身体の前記一部分の複数の画像フレームを取得する撮像装置と、
前記周期的活動の位相を検知するセンサと、
前記対象者の身体の前記一部分との関係において機能を実行するように構成された医療ツールと、
前記対象者の前記一部分内に配設された前記医療ツールの画像フレームの安定化された組を生成し、前記周期的活動がその所定の位相にあることを前記センサが検知するのに応答し、前記ツールを作動させて、前記機能の実行及び運動から構成された群から選択されたアクションを実行させ、且つ、前記周期的活動が前記所定の位相にないことを前記センサが検知するのに応答し、前記ツールが前記アクションを実行することを禁止するように構成された制御ユニットと、
前記対象者の身体の前記一部分内に配置された前記医療ツールの前記画像フレームの安定化された組を表示することにより、前記ツールの使用を円滑にするように構成されたディスプレイとを有する装置。 A device for use with a portion of the subject's body that moves as a result of periodic activity in the subject's body system,
An imaging device for acquiring a plurality of image frames of the portion of the subject's body;
A sensor for detecting a phase of the periodic activity;
A medical tool configured to perform a function in relation to the portion of the subject's body;
Generating a stabilized set of image frames of the medical tool disposed within the portion of the subject and responsive to the sensor detecting that the periodic activity is in its predetermined phase. Activating the tool to perform an action selected from the group consisting of performing and exercising the function, and for the sensor to detect that the periodic activity is not in the predetermined phase. A control unit configured to respond and prohibit the tool from performing the action;
A display configured to facilitate use of the tool by displaying a stabilized set of the image frames of the medical tool disposed within the portion of the subject's body. . 前記ツールは、前記一部分内において拡張することによって前記対象者の身体の前記一部分内に埋植されるように構成された弁を有し、且つ、前記制御ユニットは、前記弁を拡張させることによって前記弁を作動させるように構成される請求項１記載の装置。 The tool has a valve configured to be implanted within the portion of the subject's body by expanding within the portion, and the control unit by expanding the valve The apparatus of claim 1 , wherein the apparatus is configured to actuate the valve. 前記ツールは、前記一部分内において拡張することによって前記対象者の身体の前記一部分内に埋植されるように構成された中隔閉鎖装置を有し、且つ、前記制御ユニットは、前記中隔閉鎖装置を拡張させることによって前記中隔閉鎖装置を作動させるように構成される請求項１記載の装置。 The tool includes a septal closure device configured to be implanted within the portion of the subject's body by expanding within the portion, and the control unit includes the septal closure The device of claim 1 , wherein the device is configured to actuate the septal closure device by expanding the device. 前記ツールは、前記対象者の身体の前記一部分の管腔内において膨張することによって前記機能を実行するように構成されたバルーンを有する請求項１記載の装置。 The tool according to claim 1 further comprising a balloon that is configured to execute the function by expanding the lumen of the portion of the subject's body. 前記ツールは、前記対象者の身体の前記一部分内において血管の閉塞をバイパスさせるように構成された管状構造を有する請求項１記載の装置。 The tool according to claim 1, further comprising a configured tubular structure so as to bypass the occlusion of a blood vessel within the portion of the subject's body. 前記ツールは、前記対象者の身体の前記一部分内において個々の治療サイトに血管再生治療を順番に適用するように構成された心筋血管再生ツールを有し、
前記制御ユニットは、前記ツールを作動させて血管再生治療を治療サイトに適用させることにより、前記ツールを作動させて前記機能を実行させ、且つ、前記血管再生ツールの少なくとも一部分を連続した治療サイトに向かって運動させることにより、前記ツールを運動させるように構成される請求項１記載の装置。 The tool comprises a myocardial revascularization tool configured to sequentially apply revascularization therapy to individual treatment sites within the portion of the subject's body;
The control unit activates the tool to apply a revascularization therapy to a treatment site, thereby operating the tool to perform the function, and at least a portion of the revascularization tool to a continuous treatment site. by headed exercise apparatus of claim 1, wherein configured to move the said tool. 前記ツールは、前記対象者の身体の前記一部分内において個々の切除サイトを順番に切除するように構成された切除ツールを有し、
前記制御ユニットは、前記ツールを作動させて切除サイトを切除させることにより、前記ツールを作動させて前記機能を実行させ、且つ、前記切除ツールの少なくとも一部分を連続した切除サイトに向かって運動させることにより、前記ツールを運動させるように構成される請求項１記載の装置。 The tool comprises an ablation tool configured to sequentially excise individual ablation sites within the portion of the subject's body;
The control unit actuates the tool to ablate the ablation site to actuate the tool to perform the function and move at least a portion of the ablation tool toward a continuous ablation site the apparatus of claim 1, wherein configured to move the said tool. 前記ツールは、前記対象者の身体の前記一部分内において物質を注入するように構成された注入ツールを有し、且つ、
前記制御ユニットは、前記ツールを作動させて前記物質を注入させることにより、前記ツールを作動させて前記機能を実行させ、且つ、前記ツールの少なくとも一部分を注入サイトに向かって運動させることにより、前記ツールを運動させるように構成される請求項１記載の装置。 The tool comprises an injection tool configured to inject a substance into the portion of the subject's body; and
The control unit operates the tool to inject the substance, operates the tool to perform the function, and moves at least a portion of the tool toward the injection site to The apparatus of claim 1 , wherein the apparatus is configured to move the tool. 前記ツールは、前記対象者の身体の前記一部分内において組織を縫合するように構成された針を有し、且つ、
前記制御ユニットは、前記ツールを作動させて前記組織を縫合させることにより、前記ツールを作動させて前記機能を実行させ、且つ、前記針を連続した縫合サイトに向かって運動させることにより、前記ツールを運動させるように構成される請求項１記載の装置。 The tool has a needle configured to suture tissue within the portion of the subject's body; and
The control unit actuates the tool to suture the tissue, actuates the tool to perform the function, and moves the needle toward a continuous suturing site. The apparatus of claim 1 , wherein the apparatus is configured to move the apparatus. 前記ツールは、前記対象者の身体の前記一部分内の吸引サイトから組織を吸引するように構成された針を有し、且つ、
前記制御ユニットは、前記針を作動させて前記組織を吸引させることにより、前記針を作動させて前記機能を実行させ、且つ、前記針を前記吸引サイトに向かって運動させることにより、前記針を運動させるように構成される請求項１記載の装置。 The tool has a needle configured to aspirate tissue from an aspiration site within the portion of the subject's body; and
The control unit actuates the needle to cause the tissue to be aspirated, actuates the needle to perform the function, and moves the needle toward the aspiration site to cause the needle to move. The apparatus of claim 1 , wherein the apparatus is configured to move. 前記ツールは、前記対象者の身体の前記一部分の管腔の少なくとも部分的な閉塞に対して閉塞開放アクションを実行することにより、前記機能を実行するように構成された閉塞開放ツールを有する請求項１〜１０の中のいずれか一項記載の装置。 The tool comprises an occlusion release tool configured to perform the function by performing an occlusion release action on at least partial occlusion of a lumen of the portion of the subject's body. The apparatus of any one of 1-10 . 前記ツールは、前記閉塞に向かって運動することにより、前記閉塞開放アクションを実行するように構成され、且つ、第１周期の前記所定の位相において前記ツールを作動させた後に、且つ、後続の周期の前記所定の位相における前記ツールの前記作動の前に、前記制御ユニットは、前記閉塞から前記ツールを退却させるように構成される請求項１１記載の装置。 The tool is configured to perform the occlusion release action by moving toward the occlusion, and after operating the tool in the predetermined phase of a first period and in subsequent periods The apparatus of claim 11 , wherein prior to the actuation of the tool at the predetermined phase of the control unit, the control unit is configured to retract the tool from the occlusion. 前記周期的な活動は、前記対象者の心臓周期を含み、且つ、前記センサは、前記対象者の心臓周期の位相を検知するセンサを有する請求項１〜１０の中のいずれか一項記載の装置。 11. The periodic activity according to any one of claims 1 to 10 , wherein the periodic activity includes a heart cycle of the subject, and the sensor includes a sensor that detects a phase of the subject's heart cycle. apparatus. ユーザーによって操作されるように構成された器具を更に有し、前記制御ユニットは、（ａ）前記周期的活動が前記その所定の位相にあることを前記センサが検知するのに応答し、且つ、（ｂ）前記器具が前記ユーザーによって操作されるのに応答し、前記ツールを作動させて前記機能を実行させるように構成される請求項１〜１０の中のいずれか一項記載の装置。 Further comprising an instrument configured to be operated by a user, wherein the control unit is (a) responsive to the sensor detecting that the periodic activity is in the predetermined phase; and 11. The apparatus according to any one of claims 1 to 10 , wherein the apparatus is configured to activate the tool to perform the function in response to the instrument being operated by the user. 前記器具は、前記周期的活動とは独立したフォースフィードバックを前記ユーザーに提供するように構成される請求項１４記載の装置。 The apparatus of claim 14 , wherein the instrument is configured to provide force feedback to the user independent of the periodic activity.
JP2009552328A 2007-03-08 2008-03-09 Imaging and tools for use with moving organs Expired - Fee Related JP5639764B2 (en)

Applications Claiming Priority (11)

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US90609107P 2007-03-08 2007-03-08
US60/906,091 2007-03-08
US92460907P 2007-05-22 2007-05-22
US60/924,609 2007-05-22
US92916507P 2007-06-15 2007-06-15
US60/929,165 2007-06-15
US93591407P 2007-09-06 2007-09-06
US60/935,914 2007-09-06
US99674607P 2007-12-04 2007-12-04
US60/996,746 2007-12-04
PCT/IL2008/000316 WO2008107905A2 (en) 2007-03-08 2008-03-09 Imaging and tools for use with moving organs

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